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Eplerenone Side Effects

The most commonly reported side effects of eplerenone include dyspnoea, acute kidney injury, and cardiac failure, based on 12,529 FDA adverse event reports from 2004 to 2025. 3.6% of reports found the drug to be ineffective.

Eplerenone side effects

Percentages show how often each reaction appears relative to total reports for eplerenone.

1
Dyspnoea8.4%1,056
2
Acute Kidney Injury7.4%924
3
Cardiac Failure7.3%911
4
Hypotension6.6%823
5
Fatigue5.1%640
6
Dizziness4.9%613
7
Diarrhoea4.3%533
8
Oedema Peripheral4.0%499
9
Drug Interaction3.9%489
10
Off Label Use3.7%458
11
Nausea3.6%454
12
Drug Ineffective3.6%451
13
Asthenia3.3%411
14
Atrial Fibrillation3.2%397
15
Fall3.0%375

These are voluntary reports and do not establish that eplerenone caused these reactions.

Report severity

87.1%Serious10,917 reports
52.8%Hospitalizations6,613 reports
9.9%Fatal1,244 reports

Seriousness is determined by the reporter, not by OpenClaim.

Eplerenone drug interactions

Other drugs that appear in adverse event reports alongside eplerenone. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Valsartan12.4%1,552
2
Sacubitril11.6%1,452
3
Furosemide10.4%1,305
4
Bisoprolol-fumarate9.8%1,233
5
Ramipril7.1%895
6
Atorvastatin-calcium6.3%784
7
Apixaban5.1%644
8
Aspirin5.1%636
9
Rivaroxaban4.0%496
10
Metformin3.9%493
11
Metoprolol3.9%490
12
Amiodarone-hydrochloride3.9%487
13
Rosuvastatin3.7%465
14
Carvedilol3.5%438
15
Pantoprazole-sodium3.3%413

Taken alongside

1
Furosemide24.0%3,005
2
Bisoprolol-fumarate19.2%2,410
3
Atorvastatin-calcium18.5%2,314
4
Aspirin17.3%2,164
5
Carvedilol11.1%1,395
6
Pantoprazole-sodium9.9%1,241
7
Allopurinol9.6%1,202
8
Metoprolol9.5%1,188
9
Ramipril9.2%1,147
10
Metformin9.0%1,126
11
Valsartan8.6%1,073
12
Levothyroxine-sodium8.4%1,047
13
Omeprazole8.3%1,035
14
Acetaminophen7.9%986
15
Apixaban7.3%910

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports eplerenone side effects

21.6% of eplerenone adverse event reports involve female patients and 70.9% involve male patients. The largest age group is elderly at 62%. These figures reflect who reports side effects, not underlying risk.

Sex

Female21.6%
Male70.9%
Unknown7.6%

Age group

< 20.2%
2–110.3%
12–171.2%
18–6436.5%
65+61.9%

What is eplerenone used for

Conditions and purposes for which patients were taking eplerenone when the adverse event was reported.

Abdominal DiscomfortAcute Coronary SyndromeAcute Myocardial InfarctionAdrenal DisorderAdrenal Gland InjuryAdrenal MassAdrenal NeoplasmAffective DisorderAlport^s SyndromeAnaemiaAngina PectorisAortic DilatationArrhythmiaArthritisAscites

Showing 15 of 323 indications

Eplerenone brand names and reporting trend

Eplerenone is sold under the brand name Inspra.

Brand names

Inspra10,861

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking eplerenone with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.